Organization
GENTLE LOVE AND CARE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIA LUMPKIN (ADMINISTRATOR)
(386) 292-6563
Entity
Organization
Contact information
Practice address
1001 3RD ST NW, JASPER, FL 32052-8915
(386) 292-6563
(866) 462-5823
Mailing address
PO BOX 1782, JASPER, FL 32052-1782
(386) 292-6563
(866) 462-5823
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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